- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04575285
Using EEG to Predict Depression Treatment Response to rTMS in Patients With Major Depression
Using EEG to Predict Depression Treatment Response to Repetitive Transcranial Magnetic Stimulation (rTMS) in Patients With Major Depression
Study Overview
Status
Intervention / Treatment
Detailed Description
The study will be a prospective, single arm trial in which a set of patients who will be treated for major depression using Repetitive Transcranial Magnetic Stimulation (according to FDA approved rTMS standard care practices) also will undergo EEG recording before Repetitive Transcranial Magnetic Stimulation treatment begins, and at the completion of treatment. The Hamilton Depression Rating Scale will be given to participants by the neuropsychiatrist at baseline and weekly intervals till the completion of treatment.
The neuropsychiatrist investigators expect to see about 12 patients per year who meet treatment criteria for Repetitive Transcranial Magnetic Stimulation. Therefore, it is expected to recruit 24 subjects into the research study over a two-year period.
Study Type
Contacts and Locations
Study Locations
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Florida
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Miami, Florida, United States, 33176
- Starlie C Belnap
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Diagnosed with cancer
- Comorbid diagnosis of major depressive disorder
- Age ≥ 18 years
- Baseline Hamilton Depression Rating Scale (HDRS) score ≥ 18
- Failed one or more adequate antidepressant trials (including selective serotonin reuptake inhibitors or SSRIs, selective norepinephrine reuptake inhibitors or SNRIs, tricyclic antidepressants or TCAs). A failed treatment response may be due to lack of antidepressant efficacy or intolerable side effects.
Exclusion Criteria:
- History of seizure or epilepsy
- History of concussion
- History of bipolar disorder
- Comorbid psychotic disorder
- Primary brain tumor or metastasis to brain
- Active comorbid substance use disorder
- History or current diagnosis of dementia
- Current pregnancy
- Unable to attend regular treatment sessions
- Any other condition in which a physician investigator feels may subject the participant to undue risk
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Electroencephalogram (EEG)
All participants will undergo EEG recording at baseline and end of treatment for a duration of 10-20 minutes per session.
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EEG measures brain activity by recording the spontaneous brain electrical activity and evoked responses non-invasively from the scalp.
Reusable Tangle Free 10mm EEG Cup Electrodes will be placed on the subject's scalp using the 10-20 system montage.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Hamilton Depression Rating Scale score
Time Frame: baseline, and weekly until study completion, which can be up to 6 weeks
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Hamilton Depression Rating Scale is used to measure severity of depression on a scale from 0 (no depression) to 52 (most severe depression).
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baseline, and weekly until study completion, which can be up to 6 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Electroencephalograph (EEG) scalp signal changes over time
Time Frame: baseline, end of treatment, which can be up to 6 weeks
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Change in brain activity as measured by the EEG in microvolts.Scalp EEG signals will be processed in order to compare EEG brain connectivity and Frontal alpha asymmetry index (FAA).
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baseline, end of treatment, which can be up to 6 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Geetha Nampiaparampil, MD, Miami Cancer Institute (MCI) at Baptist Health, Inc.
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TMS Depression
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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